Claims Examiner

Posted 6 Days Ago
Be an Early Applicant
London, ON, CAN
In-Office
Junior
Fintech
The Role
Evaluates and processes claims by reviewing eligibility, provisions, and applicable procedures to determine payment, deferral, or cancellation. Enters claim data, researches supporting information, calculates benefits, investigates claims, and communicates with internal and external customers in English and French. The role also handles correspondence, phone calls, incoming and outgoing mail, departmental meetings, training, and occasional special projects.
Summary Generated by Built In

Claims Examiner Canada

The Claims Examiner is responsible for evaluating and processing claims on primarily one business/product line by performing all functions required to determine if the claim is or is not payable/deferred/or cancelled.  This position provides correspondence to internal/external customers. 

In the Role

  • Evaluate claims against eligibility requirements, provisions and applicable processes.
  • Enter data into appropriate processing systems, including correspondence with internal and external customers.
  • Research additional information to support claim processing.  Perform benefit calculations.  Conduct claim investigation.
  • Occasional special projects.
  • Participate in departmental meetings and training activities.
  • Make and receive English and French phone calls.
  • Process incoming and outgoing mail.
  • Other duties as assigned.

Requirements

  • High School or GED Required
  • 1 year of general work experience, 6 months or more claims experience preferred
  • Basic math skills, familiar with PC Environment
  • Sound judgment, verbal and written communication skills
  • Manage positive customer relationships
  • Ability to evaluate claims against eligibility requirements
  • Fluent in speaking and writing French

OneMain Holdings, Inc. is an Equal Employment Opportunity (EEO) employer. Qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship status, color, creed, culture, disability, ethnicity, gender, gender identity or expression, genetic information or history, marital status, military status, national origin, nationality, pregnancy, race, religion, sex, sexual orientation, socioeconomic status, transgender or on any other basis protected by law.

Skills Required

  • High school diploma or GED
  • At least 1 year of general work experience
  • At least 6 months of claims experience
  • Basic math skills
  • Familiarity with a PC environment
  • Sound judgment
  • Verbal and written communication skills
  • Ability to manage positive customer relationships
  • Ability to evaluate claims against eligibility requirements
  • Fluent spoken and written French

OneMain Financial Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about OneMain Financial and has not been reviewed or approved by OneMain Financial.

  • Retirement Support Retirement benefits include a 401(k) with a dollar-for-dollar match up to 4% after six months, supporting long-term savings. An employee stock purchase plan with a 10% discount adds another ownership-oriented reward element.
  • Leave & Time Off Breadth Time-off offerings include vacation that can grow to five weeks, paid holidays, personal days, sick time, and three paid volunteer days. Paid parental leave is offered at 100% pay for six weeks, adding to the overall leave mix.
  • Flexible Benefits A broad menu of benefits spans HSAs/FSAs, disability coverage, life and long-term care solutions, tuition reimbursement, and voluntary options like pet insurance and legal assistance. Backup child/elder care and adoption assistance further widen the set of selectable supports.

OneMain Financial Insights

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The Company
HQ: Baltimore, Maryland
5,386 Employees
Year Founded: 1912

What We Do

OneMain provides personal loans with one on one, local service at branches nationwide. Our personalized loan solutions offer customers a simple and straightforward loan application, fixed rates, fixed payments, clear terms and multiple payment options.

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